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Table 3 Summary of main recommendations, quality of evidence and strength of recommendation

From: New clinical guidelines on the spinal stabilisation of adult trauma patients – consensus and evidence based

Recommendation Quality of evidence Strength of recommendation
Adult trauma patients should not undergo spinal stabilisation with a rigid cervical collar very low weak
Adult trauma patients should not undergo spinal stabilisation on a hard backboard unless in case of time-critical ABCDE-unstable patients, where other spinal stabilisation measures would be more time consuming very low weak
Adult ABCDE-stable patients with neurologic deficit and / or osseous spinal pain on examination should undergo spinal stabilisation in a vacuum mattress very low weak
Adult trauma patients with isolated penetrating injury should not undergo spinal stabilisation moderate strong
Our triaging tool should be used in order to facilitate decision on spinal stabilisation none good clinical practice